Individual
ELIJAH CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT, LE
Contact information
Practice address
6117 N COLLEGE AVE STE 2, INDIANAPOLIS, IN 46220-1952
(317) 813-9244
Mailing address
9877 COMMONWEALTH DR, FISHERS, IN 46038-8849
(317) 813-9244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204373
IN
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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